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General NPI Number Information
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NPI Number | 1104525021
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Entity Type | Individual
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Provider Name | ROBLEK MESHEL ANDERSON
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Gender | Female
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Dates
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Enumeration Date | 02/28/2023
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 44447 10TH ST W
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City | LANCASTER
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State | CA
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Zip | 93534-3324
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Country | US
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Telephone | 323-872-2838
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Fax |
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Provider Business Mailing Address
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Address Line | 23824 HAWTHORNE BLVD STE 200
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City | TORRANCE
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State | CA
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Zip | 90505-5935
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Country | US
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Telephone | 310-791-3064
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ASW122461
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License Number State | CA
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